Macular Hole with an Intact Bacillary Layer.

IF 2.3 2区医学 Q2 OPHTHALMOLOGY Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2024-12-24 DOI:10.1097/IAE.0000000000004370

Yu-Teng Fu, Chung-May Yang, Tso-Ting Lai, Tzyy-Chang Ho, Chang-Hao Yang, Yi-Ting Hsieh

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Abstract

Purpose: To describe the clinical characteristics of macular holes (MH) with an intact bacillary layer.

Methods: This retrospective study analyzed the characteristics and surgical results of 23 eyes with MH and an intact bacillary layer, with or without rhegmatogenous retinal detachment (RRD).

Results: Among the 23 eyes, 11 had only MH, and 12 had concurrent fovea-off RRD. Ten eyes (43.5%) were highly myopic. In the MH-only group, no bacillary layer detachment (BALAD) was observed before MH formation. Ten eyes underwent vitrectomy with internal limiting membrane (ILM) peeling and intravitreal injection of C3F8, and the other one received an intravitreal C3F8 only. The MH closure rate was 90.9% after one operation and 100% after two. In the RRD group, 66.7% had BALAD. ILM peeling was performed in 8 eyes (66.7%). The MH closure rate was 91.7% after one operation and 100% after two. Both groups showed significant visual improvement after surgery (P < 0.05).

Conclusions: An intact bacillary layer can be observed in MH with or without concurrent fovea-off RRD. Surgical outcomes are similar to typical MH cases, and the intact bacillary layer may not facilitate MH sealing like the ILM. An ILM flap should be considered for large MHs or highly myopic eyes.

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黄斑裂孔有完整的细菌层。

目的：探讨细菌层完整的黄斑孔（MH）的临床特点。方法：回顾性分析23只伴有或不伴有孔源性视网膜脱离（RRD）且细菌层完整的MH眼的特点及手术结果。结果：23只眼中，11只眼仅有MH， 12只眼同时有中央凹脱位RRD。高度近视10只（43.5%）。在纯MH组，在MH形成前未观察到细菌层脱离（BALAD）。10只眼行玻璃体切除术并剥离内限制膜（ILM）并玻璃体内注射C3F8，另1只眼仅行玻璃体内注射C3F8。1次术后MH闭合率为90.9%，2次术后为100%。在RRD组中，66.7%的患者有BALAD。8眼（66.7%）进行了ILM剥离。1次手术后MH闭合率为91.7%，2次手术后为100%。两组术后视力均有显著改善（P < 0.05）。结论：合并或不合并中央窝离体RRD的MH均可观察到完整的菌层。手术结果与典型的MH病例相似，完整的细菌层可能不像ILM那样有利于MH的封闭。对于大瞳孔或高度近视的眼睛，应考虑使用ILM皮瓣。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

期刊介绍： RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.